Safety Visual assess He warns the patient that if he does not comply with the treatment and preventive measures, he will need other treatments that may include. RUE: ______________ LUE: _____________ : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Imbalanced Nutrition True Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? IV fluids of D5 1/2 NS are infusing at 100 mL/hour to his right forearm. He asks to speak to a clergy member. No weight bearing today. Provide emotional support. Use therapeutic communication/Active Listening Powerlessness: True, Scenario 1 Wash and glove hands Scenario 2 Scenario 5 Fall, Risk for True While assessing the patient, Mr. Greer tells you that he is very concerned about all the potential complications involved with this surgery. Senario 2 Scenario 2 Pain: No Yes: Location: ______________________ Acute Chronic Constant Intermittent Infection, Risk for False -Have patient remain in bed, head elevated 30 degrees Re-assess patient Dr. Anderson, Educational Needs Increased acuity Scenario 4 Pain Level Normal acuity Grieving: False Scenario 4 Chronic Pain False Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. Construct dietary consult (plan) Fall, Risk for True RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 NG tube to low suction possibly D/C'd today after Dr. Levine rounds. Fall, risk for: True Mrs. Pittmon states she has had numbness for years but "now I can't . Fear True Scenario 4 Scenario 3 Scenario 4 Swallowing: Intact Dysphagia Aspiration Precautions Pain and numbness in legs for one week. Medical-Surgical - Swift River Online Learning Mr. Burgundy now has his cameraman filming in the ED and is attempting to do a live report. Call rapid response Bleeding, Risk for False Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Airborne Isolation. Wash and glove hands The surgeon has suggested Androgen-deprivation therapy (ADT) with surgical castration (orchiectomy). Scenario 5 Senario 5 Hx of dementia, from nursing home, fall one day ago. Anxiety True -Medicate for pain Imbalanced Nutrition False : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Check pedal capillary refill Patient and family upset regarding dx. Since the finding was low-grade dysplasia and is considered the early stage of precancerous changes, the gastroenterologist recommends another endoscopy in six months, with additional follow-up every six to 12 months. BP 154/89, P 94 F, R 22, T 98.3F, SaO2 95% on room air. Knowledge Deficit True Seek clarification Scenario 4 Assist patient out of bed Ineffective Renal Perfusion, Risk for True IV maintenance fluids with D5 1/4 NS @ 150 ml/hr X 3 then reduce rate to 75 ml/hr. Impaired Mobility, Risk for True -Complete incident report. Contact head nurse or supervisor in the OR to evaluate new situation Cardiovascular Assessment He has been readmitted for a red spot on his sacrum of 1 cm and a 2 cm blister on his right heel. She has just been transported from recovery. Waist belt restraint PRN; family sitter at bedside, assist with bath. Comfort/Pain Assessment Grieving: True Scenario 5 Health Change: Increased acuity Scenario 3 Decisional Conflict True Senario 5 DSD (dry sterile dressing), forehead laceration clean and dry intact. She is having some difficulty breathing. Ms. Monson has been in restraints for the past two hours with a nursing assistant remaining with her. Scenario 1 Wash hands You also notice the patient is more difficult to orient. -Advise sitter to notify nurse when leaving the room Mr. Greer has just been visited by his wife. Family arrive one hour after event to his prior room and find Mr. Thomason's room is empty and have no idea of the events that have just occurred. Employ therapeutic communication: present reality His CP is 7/10 and his BP is 165/96, P 92, R 18, SaO2 98 on 2L NC. Love and Belonging Document conversation Recent blood gases demonstrate falling PaO2 (hypoxemia) and increasing CO2 (Hypercapnia). The patient asks the nurse to explain about these medications and why they are in such a hurry. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. 3. Odor: __________, No Notify doctor and charge nurse Assess food consumption and intake and output 20ga. Reorient Patient to person, place, & time Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. August 13, 2020 // by Angela McGowan. Acute Pain True -Ask the patient if it is okay to discuss his care in front of his children. Therapeutic Communication His coughing, to clear his airway, appears ineffective. SBAR assignment.docx - SBAR(situation, background, - Course Hero (PDF) Playful citizens: utopian intersections of play, sex and 0800 1200 -Ask the patient to verbalize understanding of teaching and reassure them that yourself or any member of their care team will be available to answer questions. Document results school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Scenario 3 Allergic to sulfa drugs. After leaving the room the provider tells the nurse that he hopes that he scared him into compliance with the treatment options. Electrolyte Imbalance False Evaluate patient understanding -Explain to the patient that because of his weakness and unknown cardiac status as well as the IV, he is a fall risk and should not get out of bed without assistance. -Discuss with sitter that patient needs continual observation After two hours, Mr. Dominec is alert and cooperative, nauseated and concerned about impending surgery this evening. Home - Swift River Respirations Ronald Burgundy Offer masks to visitors The nest morning the gastroenterologist informs Mr. Gonzalez that his EGD confirmed a diagnosis of Barrett's esophagus with Dysplasia. Full head to toe neuro assessment. He insists that he is not hungry and refuses assistance with his meal. You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Fall, risk for: True -Discuss with family sitter if there are any other family members who can help with monitoring Lithia Scenario 1 Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Sa fortune s lve 2 216,00 euros mensuels Constipation, risk for: True Senario 2 Shock False LOC Increased acuity Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. Sa fortune s lve 2 216,00 euros mensuels Senario 4 Insertion site: Dry/Intact Redness Tenderness/Pain Warmth Coolness Swelling Drainage Notify lead nurse/doctor Apply oxygen Notify charge nurse that discharge will probably not occur today. Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Acute Pain True Re-assess patient Perform pain reassessment Mr. Sturgess is recently dx w/ metastatic cancer of colon and he and his family have chosen only Document results Strict I&O, regular diet, intake 50%. Document results/findings Verify Call Light/Bed Safety precautions LOC Normal acuity Apical pulse rhythm: Regular Irregular Location: Offer assistance Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Widespread Color Change: N/A pallor cyanosis jaundice erythema -If cardiac is suspected call the provider and the rapid response team. You determine to apply the restraint now. Scenario 1 -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Self-Care Deficit: True Perform full assessment and provide anti-nausea medicine. Administer antiemetic medication Inspect cast site Request sitter/family member to bedside Hopelessness True Decisional Conflict False Awaiting transport. The oncologist is insistent that the treatment begin immediately. There is an order to apply a waist belt restraint if needed. Use therapeutic communication/Active Listening Skin integrity at risk True The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. -Document and contact nursing supervisor/Charge nurse Ineffective Self-Health Management False Scenario 3 Regular diet. Radiofrequency ablation may be recommended after endoscopic resection. Chronic Pain False -Teach the patient that there are several interventions for complications post-prostatectomy to include erectile dysfunction, post-op prostatectomies, and self-care involved with a foley catheter at home. Contact charge nurse. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. Evaluate patient learning Vital signs- Document results Wash and glove hands The patient has a pneumothorax that requires a chest tube placement. The Swift River Nursing Simulation involves artificially representing real-world processes with sufficient fidelity to enable learning through immersion, practice, reflection, and feedback without facing the risks inherent in a similar real-life situation. Nursing questions and answers. Take vital signs before leaving the hospital again. -Remind patient to call for help is he need to get up and provide patient with a urinal. Offer assistance in providing more information about treatment options for newly diagnosed AIDS patients. -Explain procedure to the patient Neuro WNL alert and cooperative. Encourage fluids/fiber/ambulation Scenario 4 Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Sensorium Normal acuity, Physiological Evaluate learning 20ga. Acute pain: True Educate patient/family The provider advises the Nurse to draw a stat CBC, give a liter bolus of NS, and repeat CBC. Eye opening Spontaneous = 4 Scenario 2 Peripheral Neurovascular Dysfunction False Safety Recent chest X-ray shows diffuse bilateral interstitial infiltrates in all lobes. Vital signs -Temp 99.1, BP 124/62, P 77, RR 20, SaO2 91%. Sleep Deprivation False. Educate patient regarding changes to POC Until the recent diagnosis of cancer, the patient had only seen a physician once in the last ten years. Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Scenario 1 Do not probe further Fortune Salaire Mensuel de Tthuchicago Org Combien gagne t il d argent Evaluate caller understanding , a 58-year-old male patient presents to the ER CO CP 10/10. The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Scenario 3 Solved nursing care plan for Linda Pittmon, a 74 -year old - Chegg Bleeding, Risk for False Procedure is canceled for the day and rescheduled later allowing for new consent. Acute Pain True Bleeding, Risk for True Scenario 2 Dyspnea at rest Dyspnea with minimal activity Use of accessory muscles Provide verbal report to team members who respond to rapid response Peripheral Neurovascular Dysfunction False Evaluate understanding -Explain to the patient that he has a procedure, and he cannot eat. His past symptoms for three months have been that he noticed a slight hoarseness in speaking, a slight dry cough not related to a cold, and upon examination had a "pea-size lump on the center of his neck". Peripheral Neurovascular Dysfunction: False Dr. Altace, Educational Needs Increased acuity Gastrointestinal Assessment Scenario 2 Mrs. Stukes is feeling nauseated. ExplanationAnxiety/ fear True Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Diet as tolerated. Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Notify housekeeping. Electrolyte Imbalance False Start secondary large bore IV line Scenario 3 Rapid Response team arrived including anesthesia. He is currently febrile with temperature 100.8, HR 99, BP 135/96, RR 20, PaO2 96%, nauseated with no vomiting, rebound tenderness in right lower quadrant, has elevated WBC's and surgeon feels this will be uneventful even though he has just been diagnosed with AIDS this past week. Assess pain Nathaniel Gonzalez Inappropriate words = 3 Her husband and two grown children are also with her as she is prepared with gown and head cap awaiting transport to the operating room. Scenario 5 Tear, Ecchymosis, Contusions, Bruising Neuro WNL alert and cooperative. -Reinforce to the patient to not get out of bed The 'Strandperle' (lit. Contact Social Services 156 terms. When the HCP realizes who he is, he tells the nurse to move the patient in the treatment room down the hall and put Mr. Burgundy in there. Health Change Increased acuity Patient, and family upset regarding dx. Ineffective Peripheral Tissue Perfusion False Upon entering room, you wash/glove hands. You are concerned about preventing the patient from falling. -Give NS liter bolus Ineffective airway clearance True You have them remain with you, seated in comfortable place, while you call ICU and attempt to locate physician for them. Scenario 5 Fall, risk for: True Retrieve cast removal tool Administer antipyretic medication Swift River Med Surg Scenarios Answers - Homework Score Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. Scenario 1 She has arrived in pre-op and about to have surgery this morning. ADA diet, intake 25%. -Complete full assessment, to include neuro Scenario 3 Decreased cardio tissue perfusion: False Impaired comfort: True Obtain patient record and follow patient as he is transferred to ICU Sensorium Normal acuity, Physiological Verify call light/bed safety precautions The patient will be discharged today, and he will be ordering new prescriptions. Scenario 2 Obtain translatorT Flexes & withdraws = 4 Swift River Medical-Surgical Flashcards | Quizlet How does the Med-surg simulator work? Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting The nurse observes an elderly lady who is crying and has not been taken care of yet. It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. Give verbal report This will treat any cancer that may have metastasized to the bone. If patient statement differs from the surgical consent she has signed, notify surgeon immediately Tibial: _____ + Bilateral Other: ______________ Generalized: Pedal: ______ + Bilateral Other: ____________ Sacrum: Non-pitting Pitting ___ +. The patient is being prepared for discharge and his IV has been removed. Disturbed Body True Inform and educate spouse of dietary orders Nutritional Intake: Adequate Inadequate BMI: Palliative care. Robert Sturgess - Swift River - Robert Sturgess Educational needs Scenario 3 Fortune Salaire Mensuel de New King James Bible Download For Windows 7 Educate patient Evaluate understanding. Scenario 3 Radiofrequency ablation, which uses heat to remove abnormal esophagus tissue. Safety Oral Mucosa: Tongue: Teeth: IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Impaired Home Maintenance Management r/t Client or Family False Scenario 2 D/C plan- decrease pain and restore normal gait. Following isolation precautions, you notice several family members are by his bedside and none of them are wearing face masks as requested by sign on door. No known allergies. Scenario 5 Scenario 4 His wife tells the nurse that he seemed very distant and did not want to talk much. Arthur Thomason Encourage fluids and fiber diet He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Educate patient Include patient condition change in shift report -Attempt to orient to person, place, and time Scenario 2 Infection, Risk for True Impaired skin integrity: False, Anxiety: True Paul Greer He is pale, weak, diaphoretic, and appears anxious. Impaired Mobility True After washing and gloving hands, you then identify yourself and the patient, Ann Rails. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Anxiety True Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Non-significant past medical history. Palliative care. A few hours after speaking with the sitter about the patient needing complete observation, you notice the sitter outside of the room talking on the phone. -Ensure patient privacy and call for help and assist patient to bed once help arrives Psychological Needs Increased acuity The impedance per phase in the load ist 14+j1214+j 12 \Omega14+j12. Scenario 1 Scenario 1 Neuro WNL, alert, and cooperative. You arrive in room to check on her, after washing hands. Explain to her family and provide contact information.
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robert sturgess swift river